correlation of end-tidal carbon dioxide with arterial carbon dioxide in mechanically ventilated patients

نویسندگان

ebrahim razi trauma research center, kashan university of medical sciences,, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی کاشان (kashan university of medical sciences)

gholam abbass moosavi trauma research center, kashan university of medical sciences,, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی کاشان (kashan university of medical sciences)

keivan omidi trauma research center, kashan university of medical sciences,, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی کاشان (kashan university of medical sciences)

ashkan khakpour khakpour saebi trauma research center, kashan university of medical sciences,, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی کاشان (kashan university of medical sciences)

چکیده

background: patients undergone mechanical ventilation need rapid and reliable evaluation of their respiratory status. monitoring of end-tidal carbon dioxide (etco2) as a surrogate, noninvasive measurement of arterial carbon dioxide (paco2) is one of the methods used for this purpose in intubated patients. objectives: the aim of the present trial was to study the relationship between end-tidal co2 tensions with paco2 measurements in mechanically ventilated patients. materials and methods: end-tidal carbon dioxide levels were recorded at the time of arterial blood gas sampling. patients who were undergoing one of the mechanical ventilation methods such as: synchronized mandatory mechanical ventilation (simv), continuous positive airway pressure (cpap) and t-tube were enrolled in this study. the difference between etco2 and paco2 was tested with a paired t-test. the correlation of end-tidal carbon dioxide to (etco2) co2 was obtained in all patients. results: a total of 219 arterial blood gases were obtained from 87 patients (mean age, 71.7 ± 15.1 years). statistical analysis demonstrated a good correlation between the mean of etco2 and paco2 in each of the modes of simv, cpap and t-tube; simv (42.5 ± 17.3 and 45.8 ± 17.1; r = 0.893, p < 0.0001), cpap (37 ± 9.7 and 39.4 ± 10.1; r = 0.841, p < 0.0001) and t-tube (36.1 ± 9.9 and 39.4 ± 11; r = 0.923, p < 0.0001), respectively. conclusions: end-tidal co2 measurement provides an accurate estimation of paco2 in mechanically ventilated patients. its use may reduce the need for invasive monitoring and/or repeated arterial blood gas analyses.

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Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Patients

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عنوان ژورنال:
archives of trauma research

جلد ۱، شماره ۲، صفحات ۵۸-۶۲

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